| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OHIO, LLC | 360 3 MEADOWS DRIVE PERRYSBURG, OH 43551 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $3K | $9K | 8.96% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO LLC | 360 THREE MEADOWS DR PERRYSBURG, OH 43551 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | $0 | $10K | 10.27% |
| DAVID N MULLINS JR3 | 1437 ROYALTON RD TOLEDO, OH 43612 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 4.30% |
| MARK R MUNDWILER3 Filed as: MARK R MUDWILER | 4340 BEVERLY DR TOLEDO, OH 43614 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 2.05% |
| MARK A TOPOLSKI3 | 5045 SAN LUIS REY SYLVANIA, OH 43560 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.52% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY J MOTTER | 2268 MCKINLEY DRIVE PERRYSBURG, OH 43551 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.17% |
| CHAD A POLLOCK3 | 1106 LINDEN DRIVE VAN WERT, OH 45891 | CONTINENTAL AMERICAN INSURANCE COMPANY | $327 | $0 | $327 | 0.34% |
| PENNY M ABNER3 | 5053 GIVERNY RD OREGON, OH 43616 | CONTINENTAL AMERICAN INSURANCE COMPANY | $220 | $0 | $220 | 0.23% |
| ANDREW J LOEWEN3 | 321 W HOBART AVE FINDLAY, OH 45840 | CONTINENTAL AMERICAN INSURANCE COMPANY | $197 | $0 | $197 | 0.20% |
| JASON J LINDHORST3 | 5209 SELMA ST TOLEDO, OH 43613 | CONTINENTAL AMERICAN INSURANCE COMPANY | $147 | $0 | $147 | 0.15% |
| KEN MAJOR3 | 30207 PIPERS LANE FARMINGTON HILLS, MI 48334 | CONTINENTAL AMERICAN INSURANCE COMPANY | $110 | $0 | $110 | 0.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OHIO, LLC | 360 3 MEADOWS DRIVE PERRYSBURG, OH 43551 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $4K | $13K | 20.84% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO, LLC | 360 3 MEADOWS DRIVE PERRYSBURG, OH 43551 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $9K | 20.87% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OHIO, LLC | 360 3 MEADOWS DRIVE PERRYSBURG, OH 43551 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 20.79% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OHIO, LLC | 360 3 MEADOWS DRIVE PERRYSBURG, OH 43551 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $551 | $2K | 20.97% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO, LLC | 360 3 MEADOWS DR PERRYSBURG, OH 43551 | VISION SERVICE PLAN | $548 | $0 | $548 | 9.20% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 248 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $99K |
| Vision | VISION SERVICE PLAN | 202 | $6K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 248 | $49K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 248 | $44K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 248 | $63K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 248 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.